Renovo Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENOVO CHIROPRACTIC & WELLNESS LLC

Practice address

914 D St NE Ste 101
Auburn, WA 98002-4163

Phone

(253) 939-0906

Fax

(253) 939-3381

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Bareng-Barros, DC

Title

President

Phone

(253) 939-0906

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ashley Bareng-Barros, D.C.

  • Chiropractor
  • Normandy Park, WA
  • NPI 1992197701
  Medicare reassignment NPD
• Joshua S Kievitt, DC

  • Chiropractor
  • Olympia, WA
  • NPI 1578392809
  Medicare reassignment
• Michael Chris Chapman, D.C.

  • Chiropractor
  • Lubbock, TX
  • NPI 1164760443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1477259778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 D ST NE STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024163",
            "telephone_number": "253-939-0906",
            "fax_number": "253-939-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 D ST NE STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024163",
            "telephone_number": "253-939-0906",
            "fax_number": "253-939-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVO CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BARENG-BARROS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-939-0906",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992197701",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remnant Management, LLC
• Cassie Ann Remy, DPT
• Janet Leone Rencken-Shoe, LMHC
• Tamara Renick, LMHCA, CDP
• Jackie M Renn
• Treyvin Frayre Reonal
• Restart Chiropractic LLC
• Restoration Wellness Group LLC
• Dixie Leah Reynolds, ARNP
• Rowena Lily Bel P Reyrao, MD

• Chiropractor in Auburn, WA
• Providers in Auburn, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.